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F�ERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRIf�KLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 - 425-257-8810 - FAX 425-257-8857 -www.everettwa.org ` Z <br />APPLICATIONS ARE ACCEPTED FROM. 8 AM TO 1 PM �'i: � <br />pDDRESS: PROPER7Y A7(� R Tlt <br />�j'y,Z � COLgY .Qvc D04 ��'�U�3 �I O�J 2- <br />�L lu rx.w conslruclion: ShoA PlaUsubdlWsion Lol No._ (etlech wpy ol bnp kqal descnptbn) <br />Phonel�-mall `�Zr 3yS Y�vY <br />ER IA1JL GoQ��tY dyrddc3,. �P irH — <br />u <br />S�lZ I Co�Qy �..- ciry�sw��np EUc��"cli' W/4� S52a3 <br />2tx�y Coc4y .4�a �N�7 /1 <br />PERMIT APPLICATION <br />�f <br />�'�'4 �PtwnelEmail <br />i b3�' � N <br />?S soy y7s <br />�RP�Dr p`So�J y2S' safi Y�� Z <br />ee.ols�•, Pac�4��1a�,�� ��� _ <br />PRICE OF WORK 27, �C]p• "� <br />Existing Use ol8uilding <br />Proposed Use of �tluilding ��eAL � Gas Eleclric other <br />Buiiding type: ,yL o�ngle Femily _ Duplex _Townhousa _ Multi-Family _ Commerciel <br />Typeofprojed: �New,��Adddion _Remodel _Repalr_T.I._Sign_Sprinkler_DemoliUon_Change otUse <br />Descriptio� o( WOdc (addltlonal space puvided on the back1: <br />CUNST.W�? NEw DET.4�If� �2� �'�Lf. <br />you atarted working wilhout a permll7 _YES _✓ NO <br />MECHANICAL PERMIT APPLICATION <br />�IProJ _New_Addn _Alteratlon,�Siepe�r <br />, Shnw Num6e� fNl ol lldwl3 . . <br />PERMIT <br />olProjxt: _Naw_AAdn _AlterNlon_Repair <br />Show Numbef Ml o! flxtmei <br />Other: <br />Gas <br />:<<• <br />� Number ot Heads � """'' <br />I hereby cetlity that I have read entl eaamir.ed thls appliwtbn end know lhe same lo De true anC wrrec4 All provisions W laws and ortlinancef Boveminp <br />tNe type ot work will be complieA wilh whelher speciGetl hereln or nol. The Oranlinp ol a permit Ocee not presume to qive auNorNy to vidate or wncel <br />the pmrlsion ol anyplher stale or local Iaw reBulalinp construdion or i�e perlormance ol wnslnxiion. Tha� 1 am autnwized by the ovmer of thia properry <br />lo peAortn�yo�k 1or ich a�licatlon la matle and I compty with IM Slate Controdoro law 18.27 RCW and 288.900 WAC <br />Ga �� /L�Oy'l/� <br />Dale (ReNsed ?/201 t) <br />Owne Authodzed Apent Signalure � <br />�2 <br />